Sheila Dunn
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View article: Trends in Abortion Rates in Ontario, Canada
Trends in Abortion Rates in Ontario, Canada Open
Importance Following decades-long declines, significant increases in abortion rates have been reported in some jurisdictions from 2020 to 2023, but it is not yet known whether these trends are occurring in Canada. Objective To assess abort…
View article: How integrated knowledge translation worked to reduce federal policy barriers to the implementation of medication abortion in Canada: a realist evaluation
How integrated knowledge translation worked to reduce federal policy barriers to the implementation of medication abortion in Canada: a realist evaluation Open
Background Initial Canadian federal regulations for the abortion pill, mifepristone, had the potential to impede safe and equitable access to this medication. To catalyze evidence-based regulatory change, we engaged health policy, health s…
View article: Behind the Frontlines: Insights for Supporting Mental Health and Staff Retention in the Long-Term Care Workforce
Behind the Frontlines: Insights for Supporting Mental Health and Staff Retention in the Long-Term Care Workforce Open
Background/Objectives: Canada’s long-term care (LTC) sector is struggling with a significant staffing crisis related to shortages, high-turnover rate, and challenging working conditions. The COVID-19 pandemic exacerbated these issues and e…
View article: Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update
Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update Open
The aim of this guideline is to empower health care professionals and patients to have meaningful discussions on the importance of skeletal health and fracture risk throughout older adulthood. Identification and appropriate management of s…
View article: Sexual health experiences of women and non-binary people with early psychosis: qualitative study
Sexual health experiences of women and non-binary people with early psychosis: qualitative study Open
Background Women and gender-diverse people with early psychosis are at risk for suboptimal sexual health outcomes, yet little research has explored their sexual health experiences. Aims This study explored sexual health experiences and rel…
View article: Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians
Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians Open
Objective Individuals with psychosis are at elevated risk of adverse sexual and reproductive health (SRH) outcomes, and not receiving adequate SRH care. SRH is important for youth, yet little is known about SRH care access and experiences …
View article: Development and pilot testing of the 2019 Canadian Abortion Provider Survey
Development and pilot testing of the 2019 Canadian Abortion Provider Survey Open
Background Substantial changes in abortion care regulations, available medications and national clinical practice guidelines have occurred since a 2012 national Canadian Abortion Provider Survey (CAPS). We developed and piloted the CAPS 20…
View article: Is Medical Abortion Feasible in Primary Care? Regulating Mifepristone as a Normal Prescription: Effect on Abortion Workforce
Is Medical Abortion Feasible in Primary Care? Regulating Mifepristone as a Normal Prescription: Effect on Abortion Workforce Open
CONTEXT: Prior to 2017, most abortions in Canada were surgical and provided by a small number of physicians, mainly in urban areas. The medical abortion pill mifepristone first became available in Jan 2017. By Nov 2017 the regulations were…
View article: Exploring experiences of loneliness among Canadian long‐term care residents during the COVID‐19 pandemic: A qualitative study
Exploring experiences of loneliness among Canadian long‐term care residents during the COVID‐19 pandemic: A qualitative study Open
Background The COVID‐19 pandemic has significant impact on long‐term care (LTC) residents’ health and well‐being. Objectives This study investigated resident experiences of loneliness during the COVID‐19 pandemic in Canadian LTC homes to o…
View article: Telemedicine for First-Trimester Medical Abortion in Canada: Results of a 2019 Survey
Telemedicine for First-Trimester Medical Abortion in Canada: Results of a 2019 Survey Open
Introduction: Telemedicine has the potential to improve abortion access disparities in Canada. We aimed to explore the provision of telemedicine for first-trimester medical abortion and related barriers in 2019. Methods: We conducted a nat…
View article: Abortion services and providers in Canada in 2019: results of a national survey
Abortion services and providers in Canada in 2019: results of a national survey Open
The increased availability of medical abortion facilitates abortion access, especially in primary care and rural settings, and where surgical abortion is not available. Rejuvenation of the workforce is a critical contributor to equitable a…
View article: A Virtual Community of Practice to Support Physician Uptake of a Novel Abortion Practice: Mixed Methods Case Study
A Virtual Community of Practice to Support Physician Uptake of a Novel Abortion Practice: Mixed Methods Case Study Open
Background Virtual communities of practice (VCoPs) have been used to support innovation and quality in clinical care. The drug mifepristone was introduced in Canada in 2017 for medical abortion. We created a VCoP to support implementation …
View article: A more accurate approach to define abortion cohorts using linked administrative data: an application to Ontario, Canada
A more accurate approach to define abortion cohorts using linked administrative data: an application to Ontario, Canada Open
BackgroundThe shifting landscape of abortion care from a hospital-only to a distributed service including primary care has implications for how to identify abortion cohorts for research and surveillance. The objectives of this study were t…
View article: The 2019 canadian abortion provider survey
The 2019 canadian abortion provider survey Open
CONTEXT: Recently, updated Canadian surgical and medical abortion practice guidelines were released, mifepristone was approved by Health Canada for first trimester medical abortion (FTMA) as a regular prescription, and nurse practitioners …
View article: Development of a fraud detection plan in a survey of canadian abortion providers.
Development of a fraud detection plan in a survey of canadian abortion providers. Open
CONTEXT: Prevention and detection of fraudulent online survey responses is challenging for researchers. OBJECTIVE: Describe the development and implementation of a fraudulent response identification plan in the online Canadian Abortion Pro…
View article: Optimizing the Nursing Role in Abortion Care: Considerations for Health Equity
Optimizing the Nursing Role in Abortion Care: Considerations for Health Equity Open
Registered nurses (RNs) provide abortion care in hospitals and clinics and support abortion care through sexual health education and family planning care in sexual health clinics, schools and family practice. Nurse practitioners (NPs) impr…
View article: The pandemic and cervical cancer screening
The pandemic and cervical cancer screening Open
Cervical cancer is the third most common reproductive cancer among Canadian women and people with a cervix.[1][1] In 2021, approximately 1450 people were diagnosed with cervical cancer and 380 died of the disease.[2][2] Almost all cervical…
View article: Clinician acceptability of self-collected human papillomavirus swabs as a primary cervical cancer screening method
Clinician acceptability of self-collected human papillomavirus swabs as a primary cervical cancer screening method Open
Although knowledge of HPV self-sampling for cervical screening was poor, it was generally acceptable to clinicians if certain screening test conditions were met. However, the potential for missed opportunities to visualize pathology and ad…
View article: Development and Pilot Testing of the 2019 Canadian Abortion Provider Survey
Development and Pilot Testing of the 2019 Canadian Abortion Provider Survey Open
Background Substantial changes in abortion care regulations, available medications and national clinical practice guidelines have occurred since a 2012 national Canadian Abortion Provider Survey (CAPS). We developed and piloted the CAPs 20…
View article: Timely Considerations of Using the de Jong Gierveld Loneliness Scale with Older Adults Living in Long-Term Care Homes: A Critical Reflection
Timely Considerations of Using the de Jong Gierveld Loneliness Scale with Older Adults Living in Long-Term Care Homes: A Critical Reflection Open
Context: Despite being widely used with older adults in the community, there is limited literature on using the de Jong Gierveld Loneliness Scale with older adults living in long-term care (LTC). Objective: The purpose of this article is t…
View article: A Virtual Community of Practice to Support Physician Uptake of a Novel Abortion Practice: Mixed Methods Case Study (Preprint)
A Virtual Community of Practice to Support Physician Uptake of a Novel Abortion Practice: Mixed Methods Case Study (Preprint) Open
BACKGROUND Virtual communities of practice (VCoPs) have been used to support innovation and quality in clinical care. The drug mifepristone was introduced in Canada in 2017 for medical abortion. We created a VCoP to support implementation…
View article: POSTER ABSTRACTS
POSTER ABSTRACTS Open
Objectives: Mifepristone became available for first trimester medical abortion (FTMA) in Canada in 2017. Additionally, regulations allow pharmacies to dispense mifepristone directly to patients, facilitating telemedicine. Our objective was…
View article: The perspective of Canadian health care professionals on abortion service during the COVID-19 pandemic
The perspective of Canadian health care professionals on abortion service during the COVID-19 pandemic Open
Background The COVID-19 pandemic and pandemic response created novel challenges for abortion services. Canada was uniquely positioned to transition to telemedicine because internationally common restrictions on abortion medication were rem…
View article: The DWQ-EMR Embedded Tool to Enhance the Family Physician-Caregiver Connection: A Pilot Case Study
The DWQ-EMR Embedded Tool to Enhance the Family Physician-Caregiver Connection: A Pilot Case Study Open
The number of family caregivers to individuals with dementia is increasing. Family physicians are often the first point of access to the health care system for individuals with dementia and their caregivers. Caregivers are at an increased …
View article: Perspectives Among Canadian Physicians on Factors Influencing Implementation of Mifepristone Medical Abortion: A National Qualitative Study
Perspectives Among Canadian Physicians on Factors Influencing Implementation of Mifepristone Medical Abortion: A National Qualitative Study Open
Health Canada's removal of mifepristone restrictions facilitated the implementation of abortion care in the primary care setting. Our results are unique because Canada is the first country to facilitate provision of medical abortion in pri…
View article: DAhoy : un cadre de compétences décisionnelles destiné à l’enseignement supérieur et à la formation professionnelle pour faire face aux situations VUCA
DAhoy : un cadre de compétences décisionnelles destiné à l’enseignement supérieur et à la formation professionnelle pour faire face aux situations VUCA Open
A. Bell, Scottish-born scientist who patented the first telephone, originally suggested ‘Ahoy’ as the standard greeting when answering a call. DAhoy project, to be understood as “DecisionShip Ahoy”, invites with me-thods, processes and too…
View article: Slow implementation of mifepristone medical termination of pregnancy in Quebec, Canada: a qualitative investigation
Slow implementation of mifepristone medical termination of pregnancy in Quebec, Canada: a qualitative investigation Open
Objectives: Mifepristone for first-trimester medical termination of pregnancy (MTOP) became available in Quebec in 2018, one year after the rest of Canada. Using the theory of the Diffusion of Innovation (DOI) and the transtheoretical mode…